Do you create double eyelids in males and females differently?

Double eyelid surgery (Asian blepharoplasty) is not only popular with Chinese females to make their eyes bigger and easier to apply eye make-up, it is increasingly popular with Chinese males. About 1/4 of my double eyelid patients are males. However, there is a difference in creating double eyelid in female and male and this difference must be appreciated to avoid dissatisfaction. As a thumb of rule, Chinese females with natural double eyelids have their creases higher than those Chinese males with natural double eyelids (the same is true for Caucasians and Africans). This anatomical difference should be borne in mind when creating double eyelids in Chinese males otherwise the patients may appear non-Chinese and feminine.

Chinese females with natural double eyelids that are regarded as attractive

have good show of skin between the skin crease (double eyelid) and

the eyelashes.

On the other hand, Chinese males with natural double eyelids that are

regarded as attractive have little show of skin between the skin crease

(double eyelid) and the eyelashes.

For the Chinese females, I usually perform incisional technique or suture technique (if the eyelid is not puffy with fat) at a height of 6mm. A bit of fat is trimmed off  in the incisional technique to make the eyes appear slightly deeper but not excessively. In the Chinese males, the height should be set lower and I usually choose 5mm with little excision of skin or fat so that less skin is shown between the double eyelid and the eyelashes.

Chinese females with 6mm double eyelids, skin and fat excision.

Tapering double eyelids.

Chinese females with 6mm double eyelids, some fat and skin

excision. Parallel creases.

Chinese males with 5mm doubel eyelids. Minimal skin excision.

Tapering double eyelids.

Chinese males with 5 mm double eyelids. Minimal skin excision.

Parallel double eyelids.

Chinese males with 5mm double eyelids. Some skin excision.

Tapering double eyelids.